Provider Demographics
NPI:1558056788
Name:PARCUS, ROBERT ANDREW
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANDREW
Last Name:PARCUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 S LAPEER RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3081
Mailing Address - Country:US
Mailing Address - Phone:810-969-4841
Mailing Address - Fax:810-969-4843
Practice Address - Street 1:1191 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3081
Practice Address - Country:US
Practice Address - Phone:810-969-4841
Practice Address - Fax:810-969-4843
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist